I looked at this poll for the first time in a while and got to wondering if there might be a symptom subset difference between PWME with likely familial patterns and those with no other family with ME/CFS (or similar).
Any thoughts? Anyone with the smarts to construct a poll that might actually tease out this information?
My thoughts of that SOC is probably not. Is say that as my sister has developed the illness completely differently to what I did and has a completely different presentation to me thou she could get a CFS diagnoses easily (and now has more symptoms so looking more like a case of actual ME). So from that (and that one of my cousins presents like me with severe ME and the other cousin presents like CFS) I personally think there is no subset which stands out even within families.
eg - my sister has IBS-D .. I get IBS-C
- she gets completely different rash to the rashes to what I get (I get three kinds of rashes but not the one she gets and she doesnt get any of the rashes I get)
- she gets swallowing issues unrelated to a sore throat (as far as I know she dont get sore throats).. where as I get sore throats and dont tend to get swallowing issues.
- She can feel better at times after a bit of exercise (I think it helps her FM part of things).. I certainly never feel any better and only worst after exercise
- I get insomina and so many other symptoms... she doesnt. She doesnt have POTS, OI, postive rombergs or any of the other neurological stuff I do (thou Ive tested her for those things). I had a viral presentation (high temps, swollen glands etc) where as she didnt and still hasnt.
of cause we both do have some things the same.. I had FM too at start of illness which developed after the first year (I dont have FM now thou).. she got FM?? at the start but right away with it, thou im not sure if she does have FM as thou she has severe muscle pain hard massage helps her, where as I couldnt even be touched with it, food issues, severe exhaustion at times, headaches and we both also have heat/cold sensitivity, chemcial sensitivity esp to perfumes, sound sensitivity and brain fog and memory issues but one if one looked at all our symptoms one would think we had completely different things cause our symptom complexes are so different.. my ME strongly has viral presentations, neurological presentations eg myoclonus and tremors etc and the screwed up autonomic system all which she hasnt got.. her ME/CFS main issues are body pain and foods and of cause exhaustion.
I still thou think its very important for them to start studying "subsets" thou even with thinking the same disease can present very different in individuals. What do certain subsets have in common? What abnormalities are connected to what symptoms? which then would make it likely patients would need different treatment routes etc